Pike County Career Technology Center
Nursing Assistant Program

Student Handbook

Pike County Career Technology Center

Piketon,
 
Ohio

Ohio’s 
     First
JVS

Nursing Assistant Program

Revised: May 16, 2022

 

Pike County Career Technology Center
Nursing Assistant Program
175 Beaver Creek Road
P.O. Box 577
Piketon, Ohio 45661
  740-289-4172
Fax 740-289-4932

 

Program Coordinator 
Kimberly Fout, RN

 

NON-DISCRIMINATION POLICY STATEMENT

This school board has dedicated itself to providing equal admission opportunities and equal employment opportunities to all people regardless of race, color, national origin, sex, age, religion, ancestry or disability.

 

Policy				Table of Contents				Page

        Program Outcomes and Remediation........................................................................... 		4	     
        Fees and Expenses.........................................................................................................		5    
        Admission......................................................................................................................  	6     
        Completion of Program…..............................................................................................	     	6
        Student Guidance and Counseling   ..............................................................................	     	7
        Appearance and Personal Hygiene.................................................................................	7     
        Attendance......................................................................................................................	9    
        Evaluation Methods .....................................................................................................	   	10
        Test Administration........................................................................................................	11   
        Cell Phone………………………………………………………………….............…..        	11
        Student Accountability and Conduct..............................................................................	12 
        Student Conduct While Providing Care..........................................................................	13   
        Student Requirements Prior to Clinical Experience……………………………………	15
        Minimum Acceptable Mental and Physical Competencies…………………………….         	15  
        Dismissal of Student....................................................................................................... 	16   
        Confidentiality................................................................................................................	16 
        Grievance and Appeal.....................................................................................................	17   
        Student Records..............................................................................................................	18   
        Chemical Abuse/Dependency.........................................................................................	19  
        Health Services...............................................................................................................	19
        Blood & Body Fluid Exposure........................................................................................	20   
        Incident Report…………………………………………………………………………	21 
        Unusual Incident Report………………………………………………………………..	22  	

       ATTACHMENT  I			Name/Address Change Forms	                                           
       ATTACHMENT II			Student Response to Test Item                                              	    
       ATTACHMENT III		Record of Student Counseling Form                                     
       ATTACHMENT IV                         Student Absence Slip	                                                       	         
       ATTACHMENT V		            Student Withdrawal Form     
       ATTACHMENT VI                         Disqualifying Offenses                                                 	 

 
OUTCOMES

Program Objectives:

Upon program completion, the Nursing Assistant student will be eligible for testing for an STNA and be able to:

1.	Provide safe, proficient and compassionate nursing care, applying safe patient care principles and therapeutic communication skills.
2.	Recognize the importance of meeting the fundamental needs of every individual. 
3.	Interact  professionally with other health team members.
4.	Identify the patients’ Bill of Rights.
5.	Demonstrate safe, efficient and effective patient care.

Policy: Remediation

Free basic academic skill remediation is available through the Aspire Program. Students attending remediation classes may do so at any of the Pike County CTC Aspire site locations.

Pike County CTC Aspire Site Locations

Pike County:
Pike County CTC, Aspire (Main Office)
175 Beaver Creek Rd.
Piketon, OH 45661
(740) 289-2282 or 289-4172

Jackson County:
Jackson 
Jackson Aspire Center
University of Rio Grande,
Jackson Center
980 East Main Street 
Jackson OH 45640
(740) 288-0289

	

Policy: Fees and Expenses

	Purpose:

	The policy is written in detailed form to better clarify for the student an understanding of   program  fees and expenses.

1.	After students return the final admission packet to the Program Coordinator, he/she receives a detailed list of student fees and expenses.  At that time, each student is verbally reminded that this is just an “estimated” list.
2.	This list is given to each student to help them with planning for financial aid.
3.	The list given to each student is the following:

Estimated Expenses 
		
		Required Prior to Clinical Experience:
Physical Examination w/lab or x-ray; Hepatitis					$100
		BCI Check									$35			
		Required Prior to Program Start Date:
             Tuition   (paid to school)                                                                                 	$500
             Textbooks (paid to school)                                                                                	$90
	
	Required for State Certification (After Program Completion):
State Testing Fee								$104
          	
Total Payable to School: $590

Students will purchase a clinical uniform (estimated at $65) and supplies (estimated at $115-$170).  EXPENSES AS OF MAY 16, 2022 

Tuition Policy

All financial obligations must be met before a person may enter a class unless tuition payment arrangements have been made through the Adult Education Office or sponsoring agency.  A certificate of completion will not be issued and school related information will not be released until all financial obligations have been met.  Tuition will not be adjusted due to the student’s absences. If a student owes a tuition balance from a previous school year he or she attended the Pike County CTC, the student will not be permitted to return for additional training until the balance is paid in full. 

Refund Policy

A 100% refund will be administered if a student withdraws within the first week of the class start date. Once a student has attended one week of class, no refunds will be administered. Sponsored students receiving Veteran Benefits will receive a pro-rata refund based upon the time of withdrawal. 

 
Policy: Admission

To gain acceptance into the Nursing Assistant Program applicants must:

1.	Make full or initial tuition payment (if applicable) or have documentation which provides    
       evidence that tuition is covered through an agency. 
2.	Not have any past student balances from previous years that are still owed.
3.	Possess High School Diploma or GED. (or ADP student with approval of Director)
4.	Submit BCI check. For eligibility of completion refer “Disqualifying Offenses” Attachment.
5.	Must be 18 years of age or older by start date of program.
6.	Some students may be notified by phone because of a late application or of a space becoming available.  A student may NOT postpone entry into the class.  A student who fails to begin the class when notified must re-apply.

The admission packet contains:

•	Application for Admission (General Information)
•	Release of Information (Optional Form)
•	BCI Criminal Record Check Request, High School Diploma/GED Request
•	Acknowledgement and Release of Required Documentation for Clinical 
•	Health History (Completed by Student)
•	Prescription Medication List (Completed by Student)
•	Release of Information (Completed Prior to Visiting Physician)
•	Physical Form (Completed by Physician)

Policy: Completion of the Program

Purpose:

To clarify the requirements needed for program graduation or completion for the student:

1.  Have met financial requirements of school
             3.  Have met attendance policies of school
             4.  Have met all program outcomes in the clinical and skills lab areas with a satisfactory grade.
             5.  All required physicals & immunizations up to date
             6.  Passed all classroom courses with 80% or higher

Policy:  Student Guidance and Counseling

The student will be kept updated on his/her progress in the program:

A.	Midterm Evaluation
1.	Written report – the student will be formally notified in writing of grade/performance and attendance progress. 
B.	Final Grade
2.	Written report – the student will receive a final grade and a final attendance report. This final grade and final attendance will be kept on file in the Adult Education Office.

 
Policy: Appearance and Personal Hygiene

A.	Classroom Dress Code

1.	Each student is to be neat, clean and well groomed at all times during school, lab or clinical hours. Dress for the classroom may be casual within the following limitations:
2.	Halter tops, halter dresses, or midriff tops are not allowed.
3.	A bra must be worn.
4.	“Short” shorts are not allowed.
5.	Jeans must not be frayed, cut off, or ragged; they must be free of holes and patches for safety reasons.
6.	Sandals or shoes must be worn. No slippers, or bare feet are allowed.
7.	Any body marking which is inflammatory or known as a gang insignia such as, but not limited to, swastikas and double lightening bolts, are not to be displayed at school or clinical areas. Such body markings are strictly prohibited.
8.	The general attire of students should reflect a dignified and professional image. All clothing must fit properly and be in good repair. Appropriate undergarments must be worn. Clothes that expose cleavage, midriff and/or have plunging necklines and/or are backless are prohibited.
9.	Students may color their hair, but the color shall not be different from a naturally occurring hair color. All hairstyles must be of a conservative nature and not detract from one’s personal appearance as a professional. Numerals, designs, radical vertical or side-blocking is not permitted.  
10.	Wearing of campaign badges, buttons, shirts, pins, etc., is prohibited at all times while in clinical setting.

B.	Uniform Dress Code

1.	Uniform

A.	Regulation uniform selected for the school must be worn when directed to do so in the clinical laboratory or the clinical agencies.
B.	The hemline must be below the knee or 18” above the floor.
C.	White undergarments must be worn with the uniform.  Male students must wear a plain white T-shirt under the uniform jacket.
D.	A freshly laundered, wrinkle free, neatly mended uniform will be worn each day on the clinical unit.
E.	Lab coats may be worn with the uniform at appropriate times.
F.	Lab coats must be removed when performing procedures.
G.	Hosiery is limited to plain white hose, and free of runs.  
H.	Regulation type of white nursing shoes or white leather shoes must be worn.  Shoes and laces must be clean and well polished at all times. No canvas, open-toed, or open-back shoes will be allowed.
I.	Fingernails must be kept short (even with ends of fingers). Artificial fingernails shall not be worn.
J.	Use of cosmetics while in uniform:
1.  A harsh or artificial look is to be avoided.
2.  Perfumes are not to be worn.
                   3.   Deodorants are required.
K.	Hair should be neatly arranged according to the following limitations:
1.	Hair must be clean.
2.	Hair must be cut, fastened or arranged so that it does not fall in the face of the
       student, interfere with his/her work or touch the patient.
3.	Wigs and hairpieces may be worn as long as they conform to the hair regulations.
4.	Facial hair of male students must be kept short, neat, and well-trimmed.
5.	Use of any clips for securing hair must meet approval of instructors.   
6.	No hats are to be worn.  
L.	Gum chewing is not permitted in uniform.
M.	Jewelry may be worn only as follows while in uniform:
1.  Name pin on at all times.
2.  A watch with a second hand.
3.  Wedding bands or other rings must be removed during sterile procedures.
4.  No piercing of any kind will be worn with the student uniform,       
	    which includes the lips, nose, eyebrows, tongue or any body part that
	    is visible while in uniform. The exception is up to two plain studs on each ear.
5.  No pens on strings around the neck.
6.  Medic-alert necklaces and bracelet should be removed and pinned to the 
			    inside of the uniform.
 7.   No other jewelry will be worn with the uniform.
 8.   Earrings are not allowed to fall below the earlobe. 
N.	Tattoos may require covering while in uniform.  Decisions will be made on an 
individual basis.
O.	Any body marking which is inflammatory or known as a gang insignia such as, but not limited to, swastikas and double lightening bolts, are not to be displayed at school or clinical areas. Such body markings are strictly prohibited.
P.	The general attire of students should reflect a dignified and professional image. All clothing must fit properly and be in good repair. Appropriate undergarments must be worn. Clothes that expose cleavage, midriff and/or have plunging necklines and/or are backless are prohibited.
Q.	Students may color their hair, but the color shall not be different from a naturally occurring hair color. All hairstyles must be of a conservative nature and not detract from one’s personal appearance as a professional. Numerals, designs, radical vertical or side-blocking is not permitted.  
R.	Wearing of campaign badges, buttons, shirts, pins, etc., is prohibited at all times.
S.	Personal Hygiene:
1.  Students must be clean at all times.  If offensive body odor is detected by       
			  the instructor or noted and reported by anyone else student will receive a 
	verbal warning.  The second time student will meet with faculty member and Program Coordinator and receive a written warming.  The third time student will meet with the Program Coordinator and will receive a written warning as well as be dismissed from the program.
		   
Any questions regarding uniform regulations should be discussed with the instructors. These policies will be maintained by the faculty and administration by the following:
1.	First Offense:  	  Verbal warning from primary instructor
2.	Second Offense:  Conference with primary instructor, student, and Program Coordinator and written warning
3.	Further Offense:  Conference with primary instructor, student, and Program Coordinator and written warning.  At this time student may be subject to dismissal from the program.   

 
Policy: Attendance

A.  Attendance:
          If the student misses more than 1 classroom period the student will be dismissed from the program. The student must complete no less than 16 hours of clinical time. If student wishes to reapply to the program the student must start from the beginning of the program.  The student must have 100% attendance for the clinical experience.

B.  Tardiness
         Tardiness for class, skills lab or clinical experience is defined as “the student arriving late or leaving early  from the assigned experiences.”  Any time after the scheduled start time is considered “tardy.”  Avoid being tardy. 
          
          Tardy is defined as being 10 minutes late or leaving 10 minutes prior to scheduled dismissal time.
          1st and 2nd offense: student will receive a verbal warning
          3rd occurrence: student will receive a written warning
          4th occurrence: student will be dismissed

A student is considered missing 1 classroom period when absent an entire classroom session.
Student will be counted absent for the time missed when arriving late or leaving early. For example, if the student arrives 1 ½ hours tardy, they are considered to be 1 ½ hours absent. When the total amount of time tardy is equal to 1 classroom period the student is considered absent for 1 classroom period.
Any hours absent after missing 1 classroom period, or the equivalent of 1 classroom period, the student is dismissed from the program.

 

C.  Calamity Days

The Pike County Career Technology Center may close due to bad weather. 
If the daytime classes are cancelled or dismissed, the evening classes will be cancelled as well, unless otherwise announced.  The following radio stations are notified in the event of cancellations:
	Waverly, WXZQ 100.1		Jackson, WKOV 96.7
Chillicothe, WKKJ 94.3		Portsmouth, WPAY 104.

Time missed due to weather conditions will need to be made up.  This includes all time in classroom, lab and clinical.  A schedule for make-up will be provided.  Holiday time, extra hours on the day, and Saturdays may be used to make up time, if necessary.

 
Policy: Evaluation Methods

Grading Scale and General Evaluation Policy

Evaluation of each course and lab-clinical performance is dependent upon the student meeting the objectives of the course or clinical assignments as determined by tools developed. Most grades are based on one or all of the following:  assignments, class participation, projects, papers, tests, and performance of lab-clinical skills.  Grades will not be rounded up to the next highest grade.  Any grade less than 80% is failing. 

The grading scale for the academic and clinical work is as follows:
	A -------------------- 94-100
	B -------------------- 87-93
 *C -------------------- 80-86(below 80% is Failing)
   D--------------------- 73-79%
   F---------------------  73% or below
 *Lowest acceptable grade is 80%.

Clinical experience will be graded on a Pass / Fail basis.  

The student will receive a passing grade in Clinical if the following objectives are met:

•	Trainee must submit BCI, physical, and all required documentation prior to conducting clinical experience. 
•	The trainee must complete 16 hours of clinical time with the instructor.  If the trainee is late or misses a clinical day, all time MUST be made up.  
•	The trainee must notify the instructor if he/she is going to miss a clinical day or be late.  
•	The trainee must follow all rules of the clinical facility.
•	The trainee must maintain a professional appearance and attitude during the clinical experience. 
•	The trainee must follow all rules set forth in the program’s Student Handbook.
•	The trainee must be dressed in full uniform and bring all supplies to the clinical setting.
•	The trainee must meet all clinical objectives in the program curriculum.  The instructor will determine if the student if meeting these objectives, and keep the student updated on his/her progress.

The trainee will receive a failing grade in clinical for any of the following:
•	Less than 16 hours of clinical time with the instructor.
•	Breaking any rules of the clinical facility
•	Breaking any rules of the NA program
•	Any behavior the instructor deems unprofessional, rude, or unethical.
•	Any breach of confidentiality or failure to adhere to HIPPA regulations.
•	Failure to meet clinical objectives in the program curriculum.

Policy: Test Administration

Test Administration

A.	Exact testing dates and times will be stated in the course syllabi.
B.	For all tests the following guidelines will be followed:
1.	Hats will be removed before entering the testing area.
2.	All books, purses, papers, and other personal items will be left at the front of the room.
3.        All electronic devices are to be turned off and placed at the front of the room.
          4.         Eating during the test will not be permitted.
                     
         Make up Exam

1.	Students who miss an exam for any reason shall arrange with the primary instructor at least 48 hours in advance of the exam for a time to make up the exam.  In cases of illness, the student is responsible for contacting the primary instructor within 24 hours of the exam for a time to make up the exam. 
2.	Students who are ill for an exam should notify the primary instructor prior to the scheduled exam to arrange for a make up.
3.	10% of the test value will be deducted for each missed exam.
4.	Pop quizzes will not be made up. Missed pop quizzes will result in a grade of zero.
5.	The primary instructor reserves the option to give a different exam for make-up purposes which may include total essay.

 
Policy: Cell Phones and other electronic devices

This policy applies to all cell phones and other mobile devices.

Cell phones and other mobile devices are allowed in classroom, skills lab and clinical areas, but  must be turned off.  Students will be allowed ample time during breaks to check for messages in the appropriate area. Due to the disturbance caused by these devices, this policy will be strictly enforced.  Any non-compliance to this policy may result in dismissal from the program.

 
Policy: Student Accountability and Conduct

Nursing Assistant students shall be responsible for:

1.  Maintaining standards of academic and clinical performance as outlined in the student handbook.
  
2.  Adhering to local, state, and federal laws
 
3.  Behaving in a manner which guarantees the rights of all persons in the school

4.  Maintaining patient confidentiality

5.  Keeping Lab areas and classrooms clean and orderly.  All students at Pike County Career Technology  Center will be assigned duties by the instructor to maintain the labs and classrooms.  Any student  refusing to cooperate with the assignments can be dismissed from the program.
 
6.  Conducting oneself in a professional manner at all times where you may be perceived as a student of  the Pike County CTC Nursing Assistant Program on any school property, clinical site or any public place.

7.  Any behavior, verbal or nonverbal that is disrespectful, rude, impolite, combative, or unfriendly will not be  tolerated.  For this reason any behavior, verbal or non-verbal, that in the instructor’s judgment could be interpreted as unfriendly, disrespectful, rude or impolite, will be immediately addressed in order to preserve  the emotionally safe, polite, and friendly atmosphere of the classroom, lab, or clinical area.  Anyone that  exhibits such behavior will be warned one (1) time.  If the behavior continues, the student will be required to leave the classroom, lab or clinical area.  More severe measures may be taken, which may include:  disciplinary warnings and dismissal from the program.

Cheating
   Giving or receiving assistance on tests, quizzes, or written assignments (including plagiarism), shall result in a zero on the test, quiz, or written assignment. Repeated  offenses will be cause for dismissal. 

Damages and Losses
Students using equipment belonging to the Nursing Assistant program shall assume responsibility for its proper care.  When damage or loss of equipment is due to the student's carelessness or neglect, the student must assume the cost or replacement of the equipment.

Employment
Each student must set their own priorities regarding work.  It is the position of the nursing assistant  program  that if students elect to be employed while going to school, they do so with the full understanding that they must meet and maintain the academic, clinical, and attendance standards of the program and that no allowances will be made for the students who elect to work.

Student uniforms and name pins must never be worn outside of the school setting.

It is the responsibility of the student to arrange work schedules with the employing agency so that it does not conflict with hours spent in class or clinical areas.

Gifts
Students are not to accept money, gifts, or gratuities in any form from patients or families.

Smoking
Smoking is permitted in designated areas only.  Please discard cigarette butts in the provided receptacles.

Audio/visual recording
Tape recording in class or lab is at the discretion of the instructor.  The student must ask permission of the individual instructor before any taping can occur.
      
            Change of Names, Address, Telephone Number
Students must notify the Program Coordinator and Adult Education office immediately in writing of any changes in name, address, or telephone number.  

Meals and snacks at school
1.	Students are to eat and drink in designated areas only.
2.	Students are to leave the classroom and lab areas clean and neat.

   Health Services
Medical insurance is recommended as students are fully responsible for any medical expenses incurred.  Emergency care is available at each of the cooperating healthcare facilities.

A student will be advised to leave the clinical or classroom setting under the following circumstances:
1.  Student with a fever of 101° F or higher verified by the primary instructor after checking student’s temperature with thermometer
2.  Student demonstrating behavior in classroom distracting to student and/or other classmates, such as crying, falling asleep and snoring loudly, etc.

Anytime a student is asked to leave the classroom the instructor will document incident on injury and illness report and after reporting incident to Program Coordinator, form will be filed into student folder.

Caring for patients with communicable diseases
Nursing assistant students are asked to care for patients with communicable infectious illnesses.  A nursing assistant student may not refuse this assignment unless a physician’s note specifically excluding this type of care is written and received by the primary instructor  and program coordinator.

 
Policy: Student Conduct While Providing Care

All students will maintain the following requirements while providing care to the patient:

1.	Report and document, in a complete, accurate, and timely manner nursing assessments or observations, the care provided by the student for the patient and the patient’s response to that care. 
2.	Shall, in an accurate and timely manner, report to the appropriate practitioner errors in or deviations from the current valid order. 
3.	Shall not falsify any patient record or any other document prepared or utilized in the course of, or in conjunction with, nursing practice. This includes, but is not limited to, case management documents or reports or time records, reports, and other documents related to billing for nursing services. 
4.	Shall implement measures to promote a safe environment for each patient. 
5.	Shall delineate, establish, and maintain professional boundaries with each patient.
6.	At all times when a student is providing direct nursing care to a patient the student shall:

a)	    Provide privacy during examination or treatment and in the care of personal or bodily  needs. 
                             b)   Treat each patient with courtesy, respect, and with full recognition of dignity and  individuality

7.	Shall use universal blood and body fluid precautions.
8.	Shall not misappropriate a patient’s property or:

a)	Engage in behavior to seek or obtain personal gain at the patient’s expense.
b)	Engage in behavior that may reasonably be interpreted as behavior to seek or obtain personal gain at the patient’s expense.
c)	Engage in behavior that constitutes inappropriate involvement in the patient’s personal relationships
d)	Engage in behavior that may reasonably be interpreted as inappropriate involvement in the patient’s personal relationships.
e)	For the purpose of this paragraph, the patient is always presumed incapable of giving free, full, or informed consent to the behaviors by the student set forth in this paragraph.
  10. Shall not: 
a)	Engage in sexual conduct with a patient or conduct themselves in a manner that can be interpreted as such.
b)	Engage in conduct in the course of practice that may reasonably be interpreted as sexual
c)	Engage in any verbal behavior that is seductive or sexually demeaning to a patient.
d)	Engage in verbal behavior that may reasonably be interpreted as seductive, or sexually demeaning to a patient.
e)	For the purpose of this paragraph, the patient is always presumed incapable of giving free, full, or informed consent to sexual activity with the student.

 11. Shall not, regardless of whether the contact or verbal behavior is consensual, engage with a patient other than the spouse of the student in any of the following:

a)	Verbal behavior that is sexually demeaning to the patient or may be reasonably interpreted by the patient as sexually demeaning.
12.  Shall not self-administer or otherwise take into the body any dangerous drug, in any way not in accordance with a legal, valid prescription issued for the student.
13.  Shall not habitually indulge in the use of controlled substances, other habit-forming drugs, or alcohol or other chemical substances to an extent that impairs ability to practice.
14.  Shall not have impairment of the ability to practice according to acceptable and prevailing standards of safe  nursing care because of habitual or excessive use of drugs, alcohol, or other chemical substances that impair  the ability to practice.
      15.   Shall not have impairment of the ability to practice according to acceptable and prevailing standards of safe  nursing care because of a physical or mental disability.
      16.   Shall not assault or cause harm to a patient or deprive a patient of the means to summon assistance.
      17.   Shall not obtain or attempt to obtain money or anything of value by intention, misrepresentation, or material  deception in the course of practice.
      18.   Shall not have been adjudicated by a probate court of being mentally ill or mentally incompetent, unless  restored to competency by the court.

Policy:  Student Requirements Prior to Clinical Experience

Prior to the start of their clinical experience, the student will submit a valid and approved physical signed by an appropriate medical professional to the school. A drug screen will be part of the physical. Prior to the start of the clinical experience, the student will submit a clean drug screen to the school. 
Failure to submit documentation verifying a valid physical and clean drug screen will result in the student not being able to start their clinical experience; thereby being ineligible for program completion. 
Prior to the start of their clinical experience, the student will submit a BCI check that indicates the student is able to perform clinical experience at the clinical facility - refer to the Disqualifying Offenses Attachment.

Minimum acceptable mental and physical competencies

Success as a nursing assistant student depends on many variables.  Among them are academic ability and certain technical abilities or competencies.  Most nursing assistant positions involve standing for long hours and performing activities that require mobility.

The competencies listed below represent the minimum abilities necessary to successfully complete 
program objectives.  The inability to meet these competencies may interfere with meeting  program objectives and, therefore, may result in termination from the program.

1.	Carry out procedures that prevent the spread of infection (examples: frequent hand washing, using mask and gloves, create and maintain sterile fields, etc.);
2.	Lift and transfer patients with appropriate assistance, if needed, up to 6 inches from a stooped position, then push or pull the patient up to 3 feet;
3.	Lift and transfer patients, with appropriate assistance, if needed, from a stooped to an upright position to accomplish bed-to-chair and chair-to-bed transfers;
4.	Physically apply adequate pressure to effectively control bleeding, or perform CPR;
5.	Respond and react immediately to instructions/requests, monitor equipment, and perform auscultation (example: listen to a patient’s heart sounds through a stethoscope and respond immediately to any  noted problems);
6.	Satisfactorily complete clinical laboratory experiences up to and including twelve hours in length; 
7.	Demonstrate ability to effectively perform a variety of nursing tasks involving observation of objects  and persons, depth and color perception, and paperwork;
8.	Tactilely discriminate between sharp/dull and hot/cold;
9.	Communicate effectively and appropriately, both orally and in writing;
10.	Make appropriate decisions in a timely manner when stressful situations arise;
11.	Demonstrate ability to effectively perform nursing tasks using a variety of equipment

Applicants are responsible for determining their own eligibility in light of these competencies.  Students with disabilities who enter the program do so with the understanding they will be expected to meet  course requirements with reasonable accommodation that may be provided by the school.

Requests for reasonable accommodation will be evaluated by the primary instructor and the Program Coordinator as they arise throughout the program. 

Policy: Dismissal of Student

The Pike County Career Technology Center Nursing Assistant Program reserves the right to terminate the enrollment of a student at any time if it becomes evident that the student cannot carry out the course of study successfully because of:

	A.	A grade average below 80  

	B.	No show, no calls in the clinical area

	C. 	Any violation of school policies and regulations

D.  	Any violation of policies and regulations of the cooperating clinical agencies.

E.	Unsafe clinical performance resulting in possible harm to the patient, coworker, or self

F.	Cheating, plagiarism, or falsification of records (including clinical time sheets)

G.	Mishandling of medical records

H.	Positive drug screen or suspected alcohol use at school or in clinical

I.	Breach of confidentiality and HIPAA regulations
J.	Continual disruption of class or clinical (i.e. talking, laughing, cell phone usage, etc.)

K.	Justifiable complaints on student performance from clinical sites

L.	Unprofessional behavior while representing the Pike County CTC NA Program

M.	Breaking any Laws of the state of Ohio or state of residence

N.	Ineligibility to Complete Program or Attend Clinical

Confidentiality
Each patient has a legal right to privacy and we are responsible for protecting that right.  Respecting 
privacy involves not only our one-on-one interactions with the person, but also our interactions with 
others about the person.

“Confidentiality” refers to our responsibility to keep private matters private.

Eight steps to respecting and protecting confidentiality:

1.	Discuss confidential medical, financial and personal matters in a private setting.
2.	Safeguard all records.
3.	Avoid discussing confidential information in public settings.
4.	Re-direct questions about confidential matters to the person unless authorized by the person to share such information.
5.	Become the patient advocate by helping others maintain confidentiality.
6.	Respect a patient choice not to share information.
7.	There will be no copying of patient records for any reason.
8.	Respect the Confidential nature of all information regarding patients and the agency as related to 
      “Protected Health Information” in the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

The instructors will carefully review all the records and recommend dismissal when necessary.  Primary Instructor recommendations and copies of necessary records will be submitted to the coordinator.  The student will  meet with the primary instructor and the coordinator to discuss the situation.  The student will be informed verbally  and in writing of the action taken.

  Policy: Grievance and Appeal

Purpose:

To provide students a mechanism for solving problems of an academic and nonacademic nature. 

Definitions:

Grievance is a complaint or situation where a student feels he/she has been treated unfairly.

Appeal is a process by which an individual can air complaints or grievances and seek remedies.

Academic matters are those concerns, which are related to the promotion process and the student 
attendance policy.  These would include grades or dismissal from the program.

Nonacademic matters are concerns which may arise out of interpretation of all other policies and 
procedures included in the Student Handbook, which are not satisfactorily settled by discussion with the person or persons involved.

Procedure:

The Pike County Career Technology Center provides established channels for resolving academic and  non-academic complaints of students by providing a process for appeal.  Students are encouraged to  follow the chain of command and resolve the issue with the party involved.  Attempts to resolve problems should begin with discussion between the student and instructor.  Often, by clarifying communication, a problem may become manageable.  However, if a student feels that progress is not being made, she/he  should contact the program coordinator.  Usually making an appointment to discuss the situation is the  best course of action.

Steps in the appeal process for students are described below:

1. Student-Instructor Discussion
Many problems can be resolved by an open discussion between the student and the instructor. 
Thus, if a student has a grievance with an instructor, the student needs to make an appointment with the instructor  and state that the purpose of the meeting is to discuss a grievance.  Either the student  or instructor may request another instructor to be present during the  discussion.  The instructor involved is responsible for preparing a summary of the points discussed and outcome of the meeting to be placed in the student's file.  A copy of this summary is also given to 
the student.

2.  Program Coordinator meeting with Student and Instructor
If student-instructor discussion does not resolve the issue, the student may contact the Program Coordinator to seek a solution by filing a written complaint no later than five (5) business days after meeting with the instructor.  The Program Coordinator is responsible for keeping written documentation of the discussion with the student.  A copy of the discussion should be given to the student and another copy placed into the student file.  The Program Coordinator also needs to provide the instructor with a copy of  the discussion and initiate a discussion with the instructor.  The Program Coordinator is responsible for pre-paring a written summary of the Program Coordinator/instructor discussion.  A copy of this report should be given to the student; an additional copy should be placed into the student file.  If the issue can be resolved at the Program Coordinator level the case is then closed.  If the issue cannot be resolved to the student's satisfaction, the student may file a written complaint with the Director no later than five (5) business days after meeting with program coordinator and faculty member.

3.  Meeting with Department Director
Student may request a meeting with Director in writing.  The Director is responsible for keeping written documentation of the discussion with the student.  Student will then be notified of the Director’s decision.  A copy should be given to the student and a copy placed into the student file.  The Director also needs to provide the Program Coordinator with a copy.  If the issue can be resolved at the Director level the case is then closed.  

4.  Meeting with Superintendent
If an appeal is filed within five (5) business days, the student shall meet with the Superintendent and be given the opportunity to present any evidence to overturn the decision.  The Superintendent shall consider the evidence and provide the student with his/her decision in writing.  The decision of the Superintendent is final.  

 
Policy: Record Retention

Current student records include:
1.   admission materials
2.   counseling forms
3.	tests
4.	quizzes
5.	clinical evaluations
6.	classroom and clinical attendance
7.	skills testing checklists

Current student records containing admission materials and counseling done by the Program Coordinator will be maintained in the coordinator’s office.

Current student records containing class work, test and quiz scores, clinical performance records, and  records of counseling done by the instructors will be maintained in the program coordinator’s office.

All student records will be maintained for a minimum period of two (2) years.

Policy: Chemical Abuse/Dependency

With the exception of properly prescribed medications, students must not be under the influence of
drugs and/or alcohol when they report to class, lab or clinical.  The use, sale, transfer, or possession
of a controlled substance or alcohol by students creates the potential for harm to oneself and to others.
        
It is an ethical and professional responsibility of all students to conduct themselves in a manner consistent with the provision of an environment free from threat to person, property, efficiency or reputation as a consequence of illegal use, sale, transfer, or possession of alcohol or dangerous drugs as defined by Section 4729.02 of the Ohio Revised Code (Definitions, Pharmacy Act).  The school supports and will cooperate with authorities at the local, state, and federal levels regarding the regulation of alcohol and drug abuse.  The Pike County Career Technology Center will notify legal authorities in accordance with Section 2921.22 of the Ohio Revised Code.  The school will not protect a student in violation of the law from prosecution under federal, state or local law.  Appropriate referrals will be made (if needed) to the Scioto County Paint Valley Mental Health Center.  

The following procedure will be adhered to:

1.	The illegal possession, use, sale, or transfer of controlled substances or alcohol during class hours, lab hours, or while on clinical assignment is prohibited and constitutes grounds for dismissal.
2.	The Pike County Career Technology Center will notify legal authorities in accordance with Section  2921.22 of the Ohio Revised Code.
3.   The Pike County Career Technology Center does not provide rehabilitation services for substance abuse; however, the school will recommend locally available resources with appropriate professional services for referral and rehabilitation of students with a chemical abuse/dependency problem.
4.   The legal use of medication or drugs prescribed by a licensed practitioner and taken as prescribed is permitted provided that such usage does not adversely affect the student’s performance or endangers  the health or safety of others.  The use of any other drugs and/or alcohol is explicitly prohibited and will result in disciplinary action.
5.   Any incidence of suspected chemical or alcohol abuse will be reported to administration and will be documented.  A drug screen may be performed at the discretion of the Program Coordinator or the Director.  If the drug screen is positive, student will be dismissed immediately and the drug screen will be sent for verification through Lab Corp.  Documentation will be placed in the student’s file.  The student will be informed in writing of this action and appropriate referrals will be made. 

Policy: Health Services

Pike County Career Technology Center does not provide Health Services to the student.  Students are  encouraged to address health issues with their family physician or nurse practitioner.  Students with illness and/or injury may be dismissed at the nursing instructor’s discretion from classroom or clinical and referred to an approved health facility. In the event of an emergency, faculty will call 911. 

Policy:  Blood & Body Fluid Exposure Policy

In the event of a needle puncture injury, the following guidelines are to be followed:
If the injury occurs at a clinical site, the policy for that site needs to be followed.  The guidelines  should include but not be limited to:

1.  Wash the area with soap or betadine scrub for 10 minutes.
2.  Notify clinical instructor or preceptor immediately.
3.  Fill out an incident report specific to the clinical site.
4.  Go to the emergency room to be checked by a physician.
             5.  Notify Program Coordinator to receive counseling on treatments and to fill out a school incident report  within 24 hours of the incident.               
     **Any cost incurred for blood work or treatment suggested by the physician or nurse practitioner will   be the responsibility of the student.
     **Students have the right to refuse treatment but must document the refusal on both incident reports.
6.  The procedure for blood and body fluid exposure is located in the OSHA Safety Precaution Book in the skills lab. 

If the injury occurs at school during skills lab time:

1.  Wash the area with soap or betadine scrub for 10 minutes.
      2.   Notify the skills lab instructor  immediately.
      3.   Document occurrence on a school incident report.
            4.   Counseling is to be done by the Program Coordinator within 24 hours concerning possible tests and treatments.
            5.    Student may choose to visit own physician or nurse practitioner.
            6.    Follow the student’s exposure Control Action Plan located in the OSHA Safety Precaution Book in  the skills lab.
            7.    The source person will be asked by the Program Coordinator or primary instructor to have HIV &  Hepatitis B testing (the Liability insurance may cover this if the source person was a no fault incident).

**Any costs incurred for blood work, physician visit, or treatment will be the responsibility of the student.

**Students have the right to refuse treatment but must document the refusal on a school incident report.

                                            Incident Report

To be completed in duplicate by the student.  One copy is to be retained in student's file. 
Submit one copy to Program Coordinator.

Student Name: ________________________________________________

Program Area: ________________________________________________

Date & Time of Incident: __________________		____________________

Other persons involved including title (i.e. student, instructor, etc.)

Name:  _______________________________	Title: __________________________

Name: ________________________________	Title: __________________________

Name: ________________________________	Title: __________________________

Describe the incident: (including injury, activity student was involved in, and how it occurred)

          ________________________________________________________________________

          ________________________________________________________________________

          ________________________________________________________________________

          ________________________________________________________________________

Safety precautions used: (i.e. safety glasses, gloves, etc) 

         ________________________________________________________________________

         ________________________________________________________________________

What emergency treatment was given and by whom? 
         ________________________________________________________________________

         ________________________________________________________________________

Was Exposure Control Plan followed?   	Yes _____		No _____

Student Signature: _______________________	Instructor Signature: _____________

Witness:  ______________________________     Date: __________________________

 
Unusual Incident Report

Signature of person completing this form: ________________________________ 

				Print name: ________________________________

Upon completion, submit this form to the Program Coordinator’s office. Do not use this form for accident/illness reporting.

Description of incident: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Date complete: _______________	Person(s) involved: _______________________
Date of incident: _____________	_______________________________________
Time of incident: _____________	Location of incident: ______________________

ATTACHMENT I:

  
NAME AND/OR ADDRESS CHANGE FORM

Previous Name and Address:                                    Current Name and Address:

__________________________________              _________________________________
Last Name          First Name             Initial               Last Name          First Name         Initial

___________________________________            _________________________________
Address                                                                     Address

___________________________________             _________________________________
City                          State          Zip Code                 City                          State         Zip Code

___________________________________             _________________________________
Phone Number                                                           Phone Number

     ___________________________________             __________________________________
       Email Address                                                             Email Address

ATTACHMENT II

Student Response to a Test Item

Question #______________________

Correct Response_________________

Response selected by student_____________________

Rationale for student response

Student Signature (required for this form to be considered)__________________________________

Form to be turned in to instructor at end of test review.

ATTACHMENT III
 
 Pike County CTC
Nursing Assistant Program
Student Intervention/Academic Counseling Plan

Name:
	
Start date:	End date:
	
Problem type: 
Grades  □         Attendance  □          Appearance/hygiene   □          Other (describe) □

Placed on probation □
	
Midterm grade notification (80% required): 
Course(s):                                                                 Midterm grade(s):

	
Plan for improvement: 

	
Expected outcomes:

	
Attainment of improvement objectives is the student’s responsibility; however, where feasible, assignments and opportunities that may contribute to the achievement of the objectives will be provided by faculty. A copy of this contract will be given to the student and the original will be kept in the student’s folder. Failure to adhere to this contract and/or meet the learning objectives will subject the student to dismissal from the program. Student’s signature indicates understanding of all parts of the contract and receipt of contract copy.	
Student signature:
	
Primary Instructor signature:

ATTACHMENT IV
 
ABSENCE SLIP

Practical Nursing Program of
Pike County CTC					DAY OF ABSENCE_______________
								S P N Initials _______

Name_______________________________________ Date of Absence_____________________________________

Reason for Absence___________________________________________________________________________________

Class Missed______________________________ Lab/Clinical Missed____________________________________

Make-Up Assignment 		Date		Requested	Due		Rec’d. Instruction  

      1.______________________________________________________________________________________________

         ________________________________________________________________________________________________

      2.______________________________________________________________________________________________

         ________________________________________________________________________________________________

      3.______________________________________________________________________________________________

         ________________________________________________________________________________________________

ATTACHMENT V
Pike County CTC
Program Withdrawal Form

Completion of this form is required for withdrawal from any adult education program. Absence from class does not constitute withdrawal. Unless this form is completed and return to the Program Coordinator, and you do not attend class, you will be graded accordingly by your instructors, typically an ‘F’.
Transcripts will reflect “withdrawal passing” (WP) or “withdrawal failing” (WF).

Please complete the following information

Name: _________________________________ 	Date: ________________

Address: _________________________________________________________

________________________________________________________________

Email: ___________________________________________________________

Program in which you are enrolled: ____________________________________

Reason for withdrawal:

___ Health/Medical 		 	___ Financial 

___ Academic			___ Residential (includes military activation)

___Employment conflict		___ Other (please explain below)

________________________________________________________________

________________________________________________________________

________________________________________________________________

Student signature: ____________________

 

ATTACHMENT VI
Students who have the following offenses on their background check are ineligible for admission or completion of the program.

3701-13-05 Disqualifying offenses.
(A) Except as provided in rule 3701-13-06 of the Administrative Code no DCP shall employ a person in a position that involves providing direct care to an older adult if the person has been convicted of or pleaded guilty to: 
(1) A violation of any of the following sections of the Revised Code: 
(a) 2903.01 -- Aggravated murder; 
(b) 2903.02 -- Murder 
(c) 2903.03 -- Voluntary manslaughter 
(d) 2903.04 -- Involuntary manslaughter 
(e) 2903.11 -- Felonious assault 
(f) 2903.12 -- Aggravated assault 
(g) 2903.13 -- Assault 
(h) 2903.16 -- Failing to provide for a functionally impaired person 
(i) 2903.21 -- Aggravated menacing 
(j) 2903.34 -- Patient abuse or neglect 
(k) 2905.01 -- Kidnapping 
(l) 2905.02 -- Abduction 
(m) 2905.11 -- Extortion 
(n) 2905.12 -- Coercion 
(o) 2907.02 -- Rape 
(p) 2907.03 -- Sexual battery 
(q) 2907.05 -- Gross sexual imposition 
(r) 2907.06 -- Sexual imposition 
(s) 2907.07 -- Importuning 
(t) 2907.08 -- Voyeurism 
(u) 2907.09 -- Public indecency 
(v) Former 2907.12 -- Felonious sexual penetration 
(w) 2907.25 -- Prostitution; after positive HIV test 
(x) 2907.31 -- Disseminating matter harmful to juveniles 
(y) 2907.32 -- Pandering obscenity 
(z) 2907.321 -- Pandering obscenity involving a minor 
(aa) 2907.322 -- Pandering sexually oriented matter involving a minor 
(bb) 2907.323 -- Illegal use of a minor in nudity-oriented material or performance 
(cc) 2911.01 -- Aggravated robbery 
(dd) 2911.02 -- Robbery 
(ee) 2911.11 -- Aggravated burglary 
(ff) 2911.12 -- Burglary 
(gg) 2911.13 -- Breaking and entering 
(hh) 2913.02 -- Theft 
(ii) 2913.03 -- Unauthorized use of a vehicle 
(jj) 2913.04 -- Unauthorized use of property; computer, cable, or telecommunication property 
(kk) 2913.11 -- Passing bad checks 
(ll) 2913.21 -- Misuse of credit cards 
(mm) 2913.31 -- Forgery; identification card offenses 
(nn) 2913.40 -- Medicaid fraud 
(oo) 2913.43 -- Securing writings by deception 
(pp) 2913.47 -- Insurance fraud 
(qq) 2913.51 -- Receiving stolen property 
(rr) 2919.25 -- Domestic violence 
(ss) 2921.36 -- Illegal conveyance of weapons or prohibited items onto grounds of detention facility or institution 
(tt) 2923.12 -- Carrying concealed weapons 
(uu) 2923.13 -- Having weapons while under disability 
(vv) 2923.161 -- Improperly discharging firearm at or into habitation or school safety zone 
(ww) 2925.02 -- Corrupting another with drugs 
(xx) 2925.03 -- Trafficking in drugs 
(yy) 2925.11 -- Possession of drugs 
(zz) 2925.13 -- Permitting drug abuse 
(aaa) 2925.22 -- Deception to obtain a dangerous drug 
(bbb) 2925.23 -- Illegal processing of drug documents 
(ccc) 3716.11 -- Placing harmful objects in food or confection 
(2) A violation of an existing or former law of this state, any other state or the United States that is substantially equivalent to any of the offenses or violations listed in paragraph (A)(1) of this rule. 
(B) Pardons. A conviction of or a plea of guilty to an offense listed or described in paragraph (A) of this rule shall not prevent an applicant's employment under any of the following circumstances: 
(1) The applicant has been granted an unconditional pardon for the offense pursuant to Chapter 2967. of the Revised Code; 
(2) The applicant has been granted an unconditional pardon for the offense pursuant to an existing or former law of the this state, any other state, or the United States, if the law is substantially equivalent to Chapter 2967. of the Revised Code; 
(3) The conviction or guilty plea has been set aside pursuant to law; or 
(4) The applicant has been granted a conditional pardon for the offense pursuant to Chapter 2967. of the Revised Code, and the conditions under which the pardon was granted have been satisfied

Pike County Career Technology Center
Adult Learning Center
175 Beaver Creek Rd.
Piketon, Ohio 45661
Phone: 740-289-2282
740-289-4172

I have read and understand the Nursing Assistant Program Guidelines and 
agree to abide by all policies and procedures set forth by the Pike County 
Career Technology Center.

I have received a copy of the Health & Safety Plan.

Signature: ________________________________ Date: _____________

I give permission for the Nursing Assistant Program of Pike County Career
Technology Center to release information from my physical examination/
Immunization forms and my professional liability insurance policy to the
Clinical facility and/or hospitals where I will be assigned for clinical
experience.  I do hereby release and hold harmless the Affiliating agency for any injury or accident that may occur or involve me while I am on the
clinical premises or any site where I am participating in clinical practice
except for those injuries that are due solely to gross negligence on the part
of the agency.

Student  Signature:____________________________         
             
           Date:________________